Evidence map›Paper›PMID 37927056›Full record

ArticleThe science of diabetes self-management and care2023

Barriers and Facilitators to Uptake of Continuous Glucose Monitoring for Management of Type 2 Diabetes Mellitus in Youth.

Vaishnavi Peyyety, Margaret F Zupa, Brianna Hewitt, Adriana Rodriguez Gonzalez, Iswariya Mani, Temiloluwa Prioleau, Jessica McCurley, Yu Kuei Lin, Mary Ellen Vajravelu

Abstract read
In one paragraph

Article in The science of diabetes self-management and care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Continuous glucose monitoring in type 2 diabetes: a systematic review of barriers and opportunities for care improvement.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
    Pooled it
  2. Guideline
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  4. Article
  5. Optimizing Continuous Glucose Monitoring Adoption in India: From Current Challenges to Future Solutions.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Review
  6. A Randomized Study of theJournal of the Endocrine Society · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Vaishnavi PeyyetyDivision of Pediatric Endocrinology, Diabetes, and Metabolism and Center for Pediatric Research in Obesity and Metabolism, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Margaret F ZupaDivision of Endocrinology and Metabolism, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.ORCID 0000-0002-8244-9295
Brianna HewittDivision of Pediatric Endocrinology, Diabetes, and Metabolism and Center for Pediatric Research in Obesity and Metabolism, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Adriana Rodriguez GonzalezUPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Iswariya ManiDivision of Pediatric Endocrinology, Diabetes, and Metabolism and Center for Pediatric Research in Obesity and Metabolism, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Temiloluwa PrioleauDepartment of Computer Science, Dartmouth College, Hanover, New Hampshire.
Jessica McCurleyDepartment of Psychology, San Diego State University, San Diego, California.
Yu Kuei LinDivision of Metabolism, Endocrinology and Diabetes, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0003-1988-7046
Mary Ellen VajraveluDivision of Pediatric Endocrinology, Diabetes, and Metabolism and Center for Pediatric Research in Obesity and Metabolism, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.ORCID 0000-0002-5839-7923

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
Be Well at Work-Plus: Engaging low-wage workers in the design and implementation of a depression and physical activity intervention - Administrative SupplementK23HL157763 · NHLBI · SAN DIEGO STATE UNIVERSITY · PI MCCURLEY, JESSICA LAUREN · 2021 to 2025
$1.0M
Minimizing Hypoglycemia in Adults with Type 1 Diabetes through an Integrated Mobile Health and Continuous Glucose Monitoring SystemK23DK129724 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LIN, YU KUEI · 2021 to 2025
$984k
Behavioral Economics for Activity Motivation in Adolescents and Young Adults with Prediabetes and Type 2 DiabetesK23DK125719 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VAJRAVELU, MARY ELLEN · 2020 to 2023
$789k
NCATS NIH HHS KL2 TR001856NCATS NIH HHS UL1 TR001857NHLBI NIH HHS K23 HL157763NHLBI NIH HHS L30 HL170331NIDDK NIH HHS K23 DK125719NIDDK NIH HHS K23 DK129724NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

purposeThe purpose of this study was to identify factors impacting the acceptability of continuous glucose monitoring (CGM) in adolescents and young adults (AYAs) with type 2 diabetes mellitus (T2DM).

methodsIn this single-center study, semistructured interviews were conducted with AYAs with T2DM and their parents to determine attitudes about CGM, including barriers and facilitators. Interviews were audio-recorded, transcribed, and evaluated using thematic analysis.

resultsTwenty AYAs and 10 parents participated (n = 30 total). AYAs were mean age 16.5 years (SD 2.2, range = 13.7-20.1) and had median diabetes duration of 1.3 years. Most were female (65%) and from minoritized background (40% non-Hispanic Black, 10% Hispanic, 5% Asian). Seven (35%) used CGM. The primary facilitator elicited was convenience over glucose meter use. Important barriers included the impact of physically wearing the device and drawing unwanted attention, desire for AYA privacy, and inadequate education about the device.

conclusionsIn this diverse sample of AYAs with T2DM and their parents, CGM was generally regarded as convenient, although concerns about worsening stigma and conflict with parents were prevalent. These findings can guide the development of patient-centered approaches to CGM for AYAs with T2DM, a critical step toward reducing inequities in diabetes technology uptake.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2AdolescentAdultBlood GlucoseBlood Glucose Self-MonitoringContinuous Glucose MonitoringFemaleHumansMaleYoung AdultBlood Glucose

Identifiers

PMID37927056
PMCPMC10895543

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.